HomeMy WebLinkAboutPlg Permit 02-0152
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
2-/4--02-
I. BI.... F,le
2 Gold City
l. YeUow Appllclnl
\ ~ ~ a ~ 01 c. \ f\ ~ 'JQ..f\UQ.. ~ <2.
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER", \
(Name) 1-\0.-('<"'1 \l>~""l
- \-\o.\n\u\v
(Phone)
(Address)
APPLICANT c.. ^ ""."7 \I' 0 I \...
(Name) ....)~ \(...,V Q.)( r \ U "\\\ \) \~
(Address) l\<tCXJ \4 d"Q.(\ C- \rC\Q. -See
(Address)
(Contact Person) ~<L ~\ ~a.r
~.
APPLICANT SIGNATURE
(Phone) C1 'S:;) :- L\ lrt - 1073Lj
~~Co\ l~ 5<537.).
(City) (Zip Code)
(Phone) Co l ~ - 7L[ I - 3{)){ ~
DATE dJl~D~
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or withOUt shower~ ~ Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry 6fray (lor 2 compartment sink . Sewage Ejector
Shower Stall Backflow Assembly
~. ......... Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) ------,
Other B/l../Nf.::? [;X/Sr/,V61 P,-uMBIIII6b
APPLICANTPYASE COMPLETE..BELOW
INTO COOG COfWI,cu4NCc
FEE SCHEDULE
Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Estimated Cost $ 6cc, 00
Building Pennit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ .3 q . ~6
$
$~O,aO
.50
.,
"
~. ~!. \
"~-0.::PProved
- Da
I :ei~ No
r=
14 hour notice for all inspections (951) 447-9856, fax (952) 447-4145
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~;(
TIME
ADDRESS I~;l. 03
OWNER fhlt-Mat~
/4a \ "
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
it?! FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
h}..('v\.u-e!' n5- ~3 H,J OK I rJI&. .(ile
?1l.-\,^^b;<D~-15~ 1)o-tolC( ~.(jle
!r~~ ~~~~ $et- C2U.~ IV\
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
K, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl